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Inspection report

Date of Inspection: 24 April 2014
Date of Publication: 30 May 2014
Inspection Report published 30 May 2014 PDF

The service should have quality checking systems to manage risks and assure the health, welfare and safety of people who receive care (outcome 16)

Meeting this standard

We checked that people who use this service

  • Benefit from safe quality care, treatment and support, due to effective decision making and the management of risks to their health, welfare and safety.

How this check was done

We carried out a visit on 24 April 2014, observed how people were being cared for, checked how people were cared for at each stage of their treatment and care and talked with people who use the service. We talked with staff.

We used the Short Observational Framework for Inspection (SOFI). SOFI is a specific way of observing care to help us understand the experience of people who could not talk with us.

Our judgement

The provider had an effective system to regularly assess and monitor the quality of service that people received.

Reasons for our judgement

The provider had an effective system in place to identify, assess and manage risks to the health, safety and welfare of people who used the service and others. The registered manager told us, “We regularly assess people’s care plans, risk assessments and support plans so we know we are providing the care they need.” We saw that medication, environment, infection control and cleaning audits were completed periodically.

We saw evidence that questionnaires were completed by people who used the service (with the support of relatives, friends or staff when required), relatives, staff, and outside agencies on a yearly basis. The registered manager told us, “They are really useful and we try and incorporate any suggestions that come back.” The home also had a suggestions box, with comments cards so people could leave feedback about the service.

A member of staff told us, “We try and learn all the time. We have meetings for the residents pretty regularly, whatever comes up we make sure we listen to so they (the people who used the service) are getting what they want. A person who used the service said, “The staff listen to me and if I want anything they help me.”

A maintenance programme for the continuous improvement of the home was in place. A member of staff we spoke with said, “We have done one bedroom downstairs and the quiet lounge but have got samples of wall paper and carpets so people can let us know what they like and we will do all the rooms eventually.”

The provider received alerts from the Central Alerting System (CAS) and the Medicines and Healthcare products Regulatory Agency (MHRA). Alerts are distributed to highlight issues with products and stock items that the provider may have purchased. The registered manager told us, “We receive alerts; I check them whenever they come in but they have never affected us.”